Individual
JESSICA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
274 HOOKER AVE APT D1, POUGHKEEPSIE, NY 12603-3025
(585) 259-7146
(888) 566-2334
Mailing address
274 HOOKER AVE APT D1, POUGHKEEPSIE, NY 12603-3025
(585) 259-7146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617847-1
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-136972
NY
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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